JOHNWICK NATHAN


Address: 6736 W Carson Rd, Laveen, AZ 85339-7024
Phone: 8609386845

JOHNWICK NATHAN (NPI# 1306327770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306327770
Entity Type Individual
Full Name JOHNWICK NATHAN
Practice Address 6736 W Carson Rd
Laveen
AZ 85339-7024
Mailing Address 3950 W Chandler Blvd Apt 3049
Chandler
AZ 85226-2662
Practice Telephone 8609386845
Mailing Telephone 8609386845
Enumeration Date 2018-08-23
Last Update Date 2018-08-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
N 251S00000X Community/Behavioral Health Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
7015 N 23rd Ln, Phoenix, AZ 850217605 8609386845

Office Location

Street Address 6736 W CARSON RD
City LAVEEN
State AZ
Zip Code 85339-7024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336642958 Project180-phoenix, LLC Clinic/Center 6736 W Carson Rd, Laveen, AZ 85339-7024 2018-03-09
1972159093 Carson Care Facility LLC Assisted Living Facility 6736 W Carson Rd, Laveen, AZ 85339-7024 2019-08-14
1861967960 Harbor Behavioral Health & Counseling, LLC Community/Behavioral Health 6736 W Carson Rd, Laveen, AZ 85339-7024 2018-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093351611 Nationwide Vision Center, LLC Technician/Technologist 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 2019-11-19
1164074282 Alvis Lee Robertson Counselor 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 2019-07-09
1912493933 Kristine Robles Specialist/Technologist 6501 W Alta Vista Rd, Laveen, AZ 85339 2018-07-02
1366968521 Care Line, LLC Home Health 5818 West Pedro Lane, Laveen, AZ 85339 2017-08-19
1881119550 Calvary Home Care Services Inc Day Training, Developmentally Disabled Services 4360 W. Alta Vista Rd, Laveen, AZ 85339 2017-08-03
1295284354 Brian Hiapo Jr. Assistant, Podiatric 6170 S 51st Ave Ste 103, Laveen, AZ 85339 2016-09-29
1962850073 Laveen Pediatric Dental Partners, LLP Dentist 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 2016-05-31
1619353992 Tiffany Lee Specialist/Technologist 7034 S. 64ave, Laveen, AZ 85339 2015-08-10
1558759068 Makoto Wakamori Counselor 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 2015-01-06
1568850329 Gila River Health Care Corporation Community Based Residential Treatment Facility, Mental Illness 142226 S 53rd Ave, Laveen, AZ 85339 2015-01-02
Find all providers in zip 85339

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730485822 Gila River Health Care Substance Abuse Rehabilitation Facility 3850 North 16th Street, Laveen, AZ 85339 2011-02-07
1073755013 Gila River Indian Community Department of Human Services Substance Abuse Rehabilitation Facility 3850 N. 16 Street, Laveen, AZ 85339 2009-04-06
1265849939 Destiny Sober Living II Carver Ranch Substance Abuse Rehabilitation Facility 11629 S 43rd Ave, Laveen, AZ 85339-3245 2014-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669073920 Tusa Mental Health Services LLC Substance Abuse Rehabilitation Facility 11570 East Cornville Road, Cornville, AZ 86325 2020-11-03
1578170999 Arizona Center for Recovery- A New Direction Substance Abuse Rehabilitation Facility 5331 N Sundown Dr, Tucson, AZ 85718-5515 2020-09-29
1427663947 Summit Bhc Tuscon, LLC Substance Abuse Rehabilitation Facility 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 2020-09-11
1386254027 J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II Substance Abuse Rehabilitation Facility 6613 W. Pershing Avenue, Glendale, AZ 85304 2020-08-07
1932726361 Northstar Homecare LLC Substance Abuse Rehabilitation Facility 5239 S 33rd Dr, Phoenix, AZ 85041-7411 2020-07-01
1891312542 Semper Fidelis Behavioral Health Care, LLC Substance Abuse Rehabilitation Facility 8020 N 17th Dr, Phoenix, AZ 85021-5217 2020-06-29
1558988246 Cmj Recovery Az LLC Substance Abuse Rehabilitation Facility 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 2020-06-29
1780201772 Pinnacle Peak Recovery, LLC Substance Abuse Rehabilitation Facility 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 2020-06-25
1629692025 A Home 4 U Transitional Housing Substance Abuse Rehabilitation Facility 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 2020-06-01
1568085215 Scottsdale Recovery II, LLC Substance Abuse Rehabilitation Facility 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 2020-05-28
Find all providers with the same taxonomy

Competitor

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City LAVEEN
Zip Code 85339

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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